If your periods are getting more painful in your 40s, you are likely experiencing Perimenopause (the transition towards menopause) or suffering from Uterine Fibroids (non-cancerous growths). Though distinct, both conditions significantly intensify period cramps and make cycles harder to manage.

Perimenopause usually begins in your mid-40s, and on average, perimenopause lasts about 4 years, but for some, it can last only a few months or stretch up to 10 years.

How Perimenopause Causes More Painful Periods

  • In your younger years, your ovaries typically release an egg every month. However, as you enter your 40s, hormonal shifts cause your ovaries to stop ovulating regularly i.e. they release an egg, but not every month.
  • Without release of an egg, instead of shedding, the uterine lining keeps growing and thickening during months when the egg isn’t released.
  • A thicker uterine lining requires more amount of Prostaglandins (the villain chemicals that cause period pain) to throw the lining out.
  • High prostaglandin levels force the uterus to contract more violently, causing the heavy, intense pain and very heavy periods in your 40s.

How Uterine Fibroids Cause More Painful Periods

Uterine fibroids are non-cancerous growths that develop from the muscle tissue of the uterus. Statistics show that approximately 64% of women affected by uterine fibroids are between the ages of 36 and 50. Therefore, a sudden onset of period pain in your 40s is often linked to these uterine fibroids growths.

To understand the mechanics of this condition, read our answer: How Do Fibroids Cause Painful and Heavy Periods?

Informational graphic explaining painful periods in your 40s, why periods get more painful with age, and perimenopause symptoms. It states that increasing pain can be due to perimenopause (menopause transition) or uterine fibroids symptoms (non-cancerous growths). The text notes that perimenopause age range typically begins in the mid-40s and can last from several months up to 10 years, and that about 64% of women with uterine fibroids age 36 to 50 are affected. The graphic ends with the campaign message "STOP The Period Pain." Which is a knowledge initiative campaign by Blue Cross Laboratories the makers of meftal spas.

Your Journey to #StopThePeriodPain Starts Here

Every month, millions of Indian girls & women suffer in silence, told that their severe period pain (dysmenorrhea) is “normal.” Our mission is to break that silence. #StopThePeriodPain campaign is here to empower you with 3 simple truths:

Period Pain Calculator Section

Hit Up Our Period Pain Calculator

For real, how bad is your pain? Our interactive tool uses a 1-10 pain scale and a few quick questions to help you get the full picture. In just a few clicks, you’ll know if your pain is a chill or a major red flag.

Don’t Take Period Pain Lightly.

Period pain (dysmenorrhea) is a real medical issue.
Visit a gynaecologist and #StopThePeriodPain

Don't take period pain lightly